ϪϣΎϧέΎϬυ΍Ϫϳ΍έ΍ϪϧϳόϣΦϳέΎΗ ΩϧγέΑϣϧ ϥΎΘδϧΎϐϓ΍̶ϣϼγ΍ΕέΎϣ΍ ΕέΎϣ΍ϲϣϼγ΍ϥΎΘδϧΎϐϓ΍Ω

ϪϴϟΎϣΕέ΍ίϭ Εέ΍ίϭ‫ػ‬ϴϟΎϣΩ
1402/10/15

183374091
Ϊϳ΍Ϯϋ̶ϣϮϤϋΖγΎϳέ ΖγΎϳέϲϣϮϤϋϭΪϳ΍ϮϋΩ
ΕΧ΍Ωέ̡ΦϳέΎΗϥϳέΧ΁
1402/10/15 Islamic Emirate of Afghanistan
Ministry of Finance
183374091 Afghanistan Revenue Department

Business Reciepts Tax -4%- Quarterly Calculation And Bank Deposit Form
̶ΗΎϳϟΎϣϩέϭΩεΟϧγΩΎϳόϣ ̶ΗΎϳϟΎϣϩέϭΩ ̶ΗΎϳϟΎϣΏΎγΣ ̵έ΍Ϋ‫י‬ϪϳΎϣέγί΍ϭΟέΑϣϧ ϥΎ‫י‬ϩΩϧϫΩϪϳϟΎϣϪϳλΧηΗέΑϣϧ

1402/7/1 ί΍ 9/1402
433978 1001781200
1402/9/30 ̶ϟ΍ 4794262 ̶γέΗγΩέΑϣϧ

ΩϳΗϣϟ̫ΩϧϬ̶̯ϧΎϣΗΧΎγΕ̯έη
HIRAT-1ST DISTRICT ̶ϟ΍ϭγϟϭ ϪϧΎΧέΑϣϧ
HIRAT Εϳϻϭ ̭έγ
AFGHANISTAN έϭη̯ Ε΍έϫέϬη ϪϳέϗϪΣΎγ

ϝϳϣϳ΍αέΩ΁ 0799130023 ϝϳΎΑϣέΑϣϧ

1402/10/28 ΕϓΎϳέΩΦϳέΎΗ Herat MTO ϪϳϟΎϣί̯έϣ

ϡϭγ̟ϭέ̳ ϪϳγϭΩϡϳυϧΗ̟ϭέ‫י‬

εΟϧγϪλϼΧ
ΕΧ΍Ωέ̡ϝΑΎϗώϠΑϣ ϩΩηϖϳΑρΗΕϳΩέ̯ΕΧ΍Ωέ̡ ϩΩηϪΑγΎΣϣΕΧ΍Ωέ̡
0 0 0 ϪϳϟΎϣ
0 0 0 ϪϣΎϧέΎϬυ΍Ϫϳ΍έ΍ϡΩϋ̶ϓΎο΍ϪϳϟΎϣ
0 0 0 Ϫϧ΍ίϭέϪϣϳέΟ
0.00 αϧϼϳΑ

εΟϧγΕΎϳίΟ
ϩΩηεΟϧγ ϩΩηεΟϧγ˱ϼΑϗΎϳϩΩηϡϳϠγΗ ΢ϳέηΗ
0 0 Gross Reciepts of Goods and Services of Legal Persons 11
0 Gross Reciepts of Goods and Services of 750,000 afghani or more of Natural 12
Persons
0 Gross Reciepts of Hotels,Resturants and Guesthouses With Total Quarterly 13
Reciepts below 750,000 afghani
0 Total income subject to 4% tax 14
0 total tax due for quarter at 4% 15
0 TOTAL business recietps tax paid during quarter 25
0 total payment due for quarter 26
self assessed penalty 27

̮ϧΎΑϥΎΗγϧΎϐϓ΍Ω ΕΩϳέ̯ϝΑΎϗΏΎγΣέΑϣϧ ϪϳϟΎϣΕέ΍ίϭ̶ϋέϓΏΎγΣ

̮ϧΎΑϥΎΗγϧΎϐϓ΍Ω έΑϣϧΏΎγΣ֔ϭՖϳրϳέ̯Ω ϩέϳϣηΏΎγΣ̶ϋέϓΕέ΍ίϭ‫ػ‬ϳϟΎϣΩ /2010208120010/
Da Afghanistan Bank Credit Account Number Ministry of Finance Subaccount#

ϩΩϧϫΩϪϳϟΎϣϪϳλΧηΗέΑϣϧ
Taxpayer Identification Number 1 0 0 1 7 8 1 2 0 0 έΑϣϧ‫ػ‬ϧΩϧ̫ϳ̡Ω‫̰ػ‬ϧϭϭ̯έϭϪϳϟΎϣΩ

Afghani Amount in Figures and Word ϑϭέΣϭΩΩϋϪΑ̶ϧΎϐϓ΍ώϠΑϣ

ϩέγϑϭέΣϭ΍ΩΩϋϪ̡ώϠΑϣϭϳϧΎϐϓ΍Ω

̮ϧΎΑϑ΍έλΎοϣ΍ϭέϬϣ αέέΑ̵Ύοϣ΍ ΩϘϧϝϭ̡ωϭϣΟϣ

̮ϳϠγϻϑ΍έλΩ̮ϧΎΑΩ ̮ϳϠγϻαέέΑΩ ϪϋϭϣΟϣΩϘϧΩ
cashier's Signature Stamp Verification Signature Total Cash